MEDICARE: FREDERICK J SAUERBURGER MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	212291000	MD
2	207W00000X	Ophthalmology Physician	KN29	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8185	OTHER	DC	CAREFIRST OF DC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	KN29FR	OTHER	MD	CAREFIRST OF MD

General Provider Information

NPI Number	:	1588660385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREDERICK J SAUERBURGER MD PA

Provider Business Mailing Address
First Line	:	11345 PEMBROOKE SQUARE
Second Line	:	STE 105
City	:	WALDORF
State	:	MD
Zip	:	20603
Country	:	US
Telephone Number	:	301-843-3120
Fax Number	:	301-645-4740

Provider Business Practice Location Address
First Line	:	11345 PEMBROOKE SQUARE
Second Line	:	STE 105
City	:	WALDORF
State	:	MD
Zip	:	20603
Country	:	US
Telephone Number	:	301-843-3120
Fax Number	:	301-645-4740

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FREDERICK J SAUERBURGER
Credential	:	MD
Telephone Number	:	301-843-3120

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	06/16/2008

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